HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
2.1.1 - STU 2.1.1 United States of America flag

HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 2.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/case-reporting/ and changes regularly. See the Directory of published versions

: Reportability Response Composition - One Condition/One PHA example - TTL Representation

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Composition ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "composition-rr-one-cond-one-pha"] ; # 
  fhir:meta [
fhir:versionId [ fhir:v "6" ] ;
fhir:lastUpdated [ fhir:v "2021-08-17T03:37:27.060+00:00"^^xsd:dateTime ] ;
fhir:source [ fhir:v "#0LoQfHsenVG69d13"^^xsd:anyURI ] ;
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-composition"^^xsd:anyURI ;
fhir:link <http://hl7.org/fhir/us/ecr/StructureDefinition/rr-composition>     ] )
  ] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Composition</b><a name=\"composition-rr-one-cond-one-pha\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Composition &quot;composition-rr-one-cond-one-pha&quot; Version &quot;6&quot; Updated &quot;2021-08-17 03:37:27+0000&quot; </p><p style=\"margin-bottom: 0px\">Information Source: #0LoQfHsenVG69d13!</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-rr-composition.html\">RR Composition</a></p></div><p><b>versionNumber</b>: 1</p><p><b>US Public Health Information Recipient Extension</b>: <a href=\"PractitionerRole-practitionerrole-henry-seven.html\">PractitionerRole/practitionerrole-henry-seven</a></p><p><b>identifier</b>: id: RR12347</p><p><b>status</b>: final</p><p><b>type</b>: Reportability response report Document Public health <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#88085-6)</span></p><p><b>encounter</b>: <a href=\"Encounter-encounter-eicr-eve-everywoman-outpatient.html\">Encounter/encounter-eicr-eve-everywoman-outpatient: Ambulatory Office Visit</a></p><p><b>date</b>: 2018-07-19 04:09:06+0000</p><p><b>author</b>: <a href=\"Organization-organization-ecr-health-authority-west.html\">Organization/organization-ecr-health-authority-west: Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999</a> &quot;Health Authority West&quot;</p><p><b>title</b>: Reportability Response - One Condition/One PHA example</p><p><b>custodian</b>: <a href=\"Organization-organization-ecr-health-authority-west.html\">Organization/organization-ecr-health-authority-west: Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999</a> &quot;Health Authority West&quot;</p></div>"
  ] ; # 
  fhir:extension ( [
fhir:url [ fhir:v "http://hl7.org/fhir/StructureDefinition/composition-clinicaldocument-versionNumber"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1" ]
  ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/ecr/StructureDefinition/us-ph-information-recipient-extension"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "PractitionerRole/practitionerrole-henry-seven" ]     ]
  ] ) ; # 
  fhir:identifier [
fhir:system [ fhir:v "http://acme.org/identifiers"^^xsd:anyURI ] ;
fhir:value [ fhir:v "RR12347" ]
  ] ; # 
  fhir:status [ fhir:v "final"] ; # 
  fhir:type [
    ( fhir:coding [
a loinc:88085-6 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "88085-6" ] ;
fhir:display [ fhir:v "Reportability response report Document Public health" ]     ] )
  ] ; # 
  fhir:subject [
fhir:reference [ fhir:v "Patient/patient-ecr-eve-everywoman" ] ;
fhir:display [ fhir:v "Eve Everywoman" ]
  ] ; # 
  fhir:encounter [
fhir:reference [ fhir:v "Encounter/encounter-eicr-eve-everywoman-outpatient" ] ;
fhir:display [ fhir:v "Ambulatory Office Visit" ]
  ] ; # 
  fhir:date [ fhir:v "2018-07-19T04:09:06Z"^^xsd:dateTime] ; # 
  fhir:author ( [
fhir:reference [ fhir:v "Organization/organization-ecr-health-authority-west" ] ;
fhir:display [ fhir:v "Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999" ]
  ] ) ; # 
  fhir:title [ fhir:v "Reportability Response - One Condition/One PHA example"] ; # 
  fhir:custodian [
fhir:reference [ fhir:v "Organization/organization-ecr-health-authority-west" ] ;
fhir:display [ fhir:v "Health Authority West, 7777 Health Authority Drive, Ann Arbor MI, 99999" ]
  ] ; # 
  fhir:section ( [
fhir:title [ fhir:v "Reportability Response Subject Section" ] ;
fhir:code [
      ( fhir:coding [
a loinc:88084-9 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "88084-9" ] ;
fhir:display [ fhir:v "Reportable condition response information and summary Document" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>Public Health Reporting Communication: one or more conditions are reportable, or may be reportable to public health</p>\n            </div>"     ]
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-processing-status-extension"^^xsd:anyURI ] ;
      ( fhir:extension [
fhir:url [ fhir:v "eICRProcessingStatus"^^xsd:anyURI ] ;
fhir:value [
a fhir:Reference ;
fhir:reference [ fhir:v "Observation/observation-rr-eicr-processing-status" ] ;
fhir:display [ fhir:v "eICR was processed - with a warning" ]         ]       ] [
fhir:url [ fhir:v "eICRValidationOutput"^^xsd:anyURI ] ;
fhir:value [
a fhir:Attachment ;
fhir:contentType [ fhir:v "text/html" ] ;
fhir:data [ fhir:v "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"^^xsd:base64Binary ]         ]       ] )     ] [
fhir:url [ fhir:v "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-eicr-receipt-time-extension"^^xsd:anyURI ] ;
fhir:value [ fhir:v "2018-07-18T04:09:06Z"^^xsd:dateTime ]     ] ) ;
fhir:title [ fhir:v "Electronic Initial Case Report Section" ] ;
fhir:code [
      ( fhir:coding [
a loinc:88082-3 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "88082-3" ] ;
fhir:display [ fhir:v "Initial case report processing information Document" ]       ] )     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Bundle/bundle-eicr-document-zika" ] ;
fhir:identifier [
fhir:system [ fhir:v "urn:ietf:rfc:3986"^^xsd:anyURI ] ;
fhir:value [ fhir:v "urn:uuid:0070e7b2-9893-4044-b255-73da1649c9fe" ]       ] ;
fhir:display [ fhir:v "bundle-eicr-document-zika.xml" ]     ] )
  ] [
    ( fhir:extension [
fhir:url [ fhir:v "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension"^^xsd:anyURI ] ;
fhir:value [
a fhir:CodeableConcept ;
        ( fhir:coding [
fhir:system [ fhir:v "urn:oid:2.16.840.1.114222.4.5.274"^^xsd:anyURI ] ;
fhir:code [ fhir:v "RRVS17" ] ;
fhir:display [ fhir:v "Immediate action required" ]         ] )       ]     ] ) ;
fhir:title [ fhir:v "Reportability Response Summary Section" ] ;
fhir:code [
      ( fhir:coding [
a loinc:55112-7 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "55112-7" ] ;
fhir:display [ fhir:v "Document summary" ]       ] )     ] ;
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n                <p>\n                    <b>Summary:</b>\n                </p>\n                <p>Your organization electronically submitted an initial case report to determine if reporting to public health is needed for a patient. &quot;Zika virus disease (disorder)&quot; is reportable to &quot;State Department\n                    of Health&quot;. An initial case report was sent to &quot;State Department of Health&quot;. Additional information may be required for this report. \n                    <br/>\n                    <br/>\n                </p>\n                <p>\n                    <b>&quot;Zika virus disease (disorder)&quot; for &quot;State Department of Health&quot;</b>\n                </p>\n                <p>Reporting is required within &quot;24 hours&quot;. Reporting to this Public Health Agency is based on &quot;both patient home address and provider facility address&quot;. </p>\n                <ul>\n                    <li>\n                        <p>Local mosquito-borne Zika virus transmission was reported in your area. Increased watchfulness for symptoms of Zika virus in your patients is warranted. (Immediate action requested)</p>\n                    </li>\n                    <li>\n                        <p>Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here. ( \n                            <a href=\"http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf\">Link</a> - Immediate action required) \n                        </p>\n                    </li>\n                    <li>\n                        <p>Zika has particular risks for pregnant women. Follow-up guidance for pregnant women and couples who are planning pregnancy. ( \n                            <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Immediate action requested) \n                        </p>\n                    </li>\n                    <li>\n                        <p>Further Laboratory testing for Zika may be needed. Guidance for additional testing and specimen collection ( \n                            <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Action requested) \n                        </p>\n                    </li>\n                    <li>\n                        <p>Forms for submitting further Zika laboratory testing ( \n                            <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/zika_test_request_form_UPHL.xlsx\">Link</a> - Information only) \n                        </p>\n                    </li>\n                    <li>\n                        <p>Treatment guidance ( \n                            <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Information only) \n                        </p>\n                    </li>\n                    <li>\n                        <p>If you have additional questions regarding Zika or reporting, contact information for the State Department of Health is available here. ( \n                            <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/Zika_Virus_Testing_Guidance.pdf\">Link</a> - Information Only) \n                        </p>\n                    </li>\n                </ul>\n                <p>Additional Resources (Information only):</p>\n                <ul>\n                    <li>\n                        <p>Control and prevention information for providers ( \n                            <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) \n                        </p>\n                    </li>\n                    <li>\n                        <p>Detailed condition references ( \n                            <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) \n                        </p>\n                    </li>\n                    <li>\n                        <p>Prevalence in State ( \n                            <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/plan.pdf\">Link</a>) \n                        </p>\n                    </li>\n                    <li>\n                        <p>CDC webpage ( \n                            <a href=\"https://www.cdc.gov/zika/index.html\">Link</a>) \n                        </p>\n                    </li>\n                    <li>\n                        <p>Patient information factsheet ( \n                            <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/factsheet.pdf\">Link</a>) \n                        </p>\n                    </li>\n                    <li>\n                        <p>State Resident information ( \n                            <a href=\"http://statedepartmentofhealth.gov/epi/diseases/zika/ZikaVirus_QA_StateDOH.pdf\">Link</a>) \n                        </p>\n                    </li>\n                </ul>\n            </div>"     ] ;
    ( fhir:entry [
fhir:reference [ fhir:v "Observation/observation-rr-summary" ] ;
fhir:display [ fhir:v "Reportability Response Summary" ]     ] [
fhir:reference [ fhir:v "Observation/observation-rr-relevant-reportable-condition-observation" ] ;
fhir:display [ fhir:v "Relevant reportable condition: Zika" ]     ] )
  ] ) . #